Skip to main content
Top
Published in: BMC Ophthalmology 1/2014

Open Access 01-12-2014 | Research article

Choroidal thickness measurement by enhanced depth imaging and swept-source optical coherence tomography in central serous chorioretinopathy

Authors: Ferdiriva Hamzah, Ari Shinojima, Ryusaburo Mori, Mitsuko Yuzawa

Published in: BMC Ophthalmology | Issue 1/2014

Login to get access

Abstract

Background

We evaluated subfoveal choroidal thickness measured with two different forms of optical coherence tomography (OCT), enhanced-depth imaging (EDI) and swept-source (SS) OCT, in central serous chorioretinopathy (CSC).

Methods

Fifty-six eyes of 48 patients diagnosed with acute or chronic CSC, were studied prospectively. Subfoveal choroidal thickness was measured as the distance between the outer border of the retinal pigment epithelium-Bruch’s membrane complex, and the chorioscleral border under the fovea. Subfoveal choroidal thickness was measured using EDI-OCT and SS-OCT. We also measured serous retinal detachment (SRD) only with SS-OCT. The Pearson correlation coefficient was used to assess the correlation between subfoveal choroidal thickness values determined by the two different OCT modalities.

Results

The mean patient age was 52 ± 13 years (range, 32–82 years). Among the 56 eyes, 21 had acute CSC and 35 had chronic CSC. Subfoveal choroidal thickness measured with EDI-OCT was 336.6 ± 91.6 μm in acute and 388.0 ± 103.4 μm in chronic CSC. With SS-OCT, the thickness in acute CSC was 332.0 ± 96.7 μm and that in chronic CSC was 392.6 ± 101.3 μm. Acute CSC (p <0.001, correlation coefficient; r = 0.99) and chronic CSC (p <0.001, correlation coefficient; r = 0.97) values obtained with the two different OCT modalities correlated significantly. Among the 56 eyes, 43 (19 eyes with acute and 24 with chronic CSC) were evaluable for SRD height by SS-OCT. The mean SRD height was 128.9 ± 83.6 μm in acute cases and 96.3 ± 62.0 μm in chronic cases.

Conclusions

Subfoveal choroidal thickness obtained with two different OCT modalities correlated significantly.
Appendix
Available only for authorised users
Literature
1.
go back to reference Sasahara M, Tsujikawa A, Musashi K, Gotoh N, Otani A, Mandai M, Yoshimura N: Polypoidal choroidal vasculopathy with choroidal vascular hyperpermeability. Am J Ophthalmol. 2006, 142: 601-607. 10.1016/j.ajo.2006.05.051.CrossRefPubMed Sasahara M, Tsujikawa A, Musashi K, Gotoh N, Otani A, Mandai M, Yoshimura N: Polypoidal choroidal vasculopathy with choroidal vascular hyperpermeability. Am J Ophthalmol. 2006, 142: 601-607. 10.1016/j.ajo.2006.05.051.CrossRefPubMed
2.
go back to reference Jirarattanasopa P, Ooto S, Nakata I, Tsujikawa A, Yamashiro K, Oishi A, Yoshimura N: Choroidal thickness, vascular hyperpermeability, and complement factor H in age-related macular degeneration and polypoidal choroidal vasculopathy. Invest Ophthalmol Vis Sci. 2012, 14: 3663-3672.CrossRef Jirarattanasopa P, Ooto S, Nakata I, Tsujikawa A, Yamashiro K, Oishi A, Yoshimura N: Choroidal thickness, vascular hyperpermeability, and complement factor H in age-related macular degeneration and polypoidal choroidal vasculopathy. Invest Ophthalmol Vis Sci. 2012, 14: 3663-3672.CrossRef
3.
go back to reference Jirarattanasopa P, Ooto S, Tsujikawa A, Yamashiro K, Hangai M, Hirata M, Matsumoto A, Yoshimura N: Assessment of macular choroidal thickness by optical coherence tomography and angiographic changes in central serous chorioretinopathy. Ophthalmology. 2012, 119: 1666-1678. 10.1016/j.ophtha.2012.02.021.CrossRefPubMed Jirarattanasopa P, Ooto S, Tsujikawa A, Yamashiro K, Hangai M, Hirata M, Matsumoto A, Yoshimura N: Assessment of macular choroidal thickness by optical coherence tomography and angiographic changes in central serous chorioretinopathy. Ophthalmology. 2012, 119: 1666-1678. 10.1016/j.ophtha.2012.02.021.CrossRefPubMed
4.
go back to reference Maruko I, Iida T, Sugano Y, Ojima A, Sekiryu T: Subfoveal choroidal thickness in fellow eyes of patients with central serous chorioretinopathy. Retina. 2011, 31: 1603-1608. 10.1097/IAE.0b013e31820f4b39.CrossRefPubMed Maruko I, Iida T, Sugano Y, Ojima A, Sekiryu T: Subfoveal choroidal thickness in fellow eyes of patients with central serous chorioretinopathy. Retina. 2011, 31: 1603-1608. 10.1097/IAE.0b013e31820f4b39.CrossRefPubMed
5.
go back to reference Ruiz-Moreno JM, Flores-Moreno I, Lugo F, Ruiz-Medrano J, Montero JA, Akiba M: Macular choroidal thickness in normal pediatric population measured by swept-source optical coherence tomography. Invest Ophthalmol Vis Sci. 2013, 54: 353-359. 10.1167/iovs.12-10863.CrossRefPubMed Ruiz-Moreno JM, Flores-Moreno I, Lugo F, Ruiz-Medrano J, Montero JA, Akiba M: Macular choroidal thickness in normal pediatric population measured by swept-source optical coherence tomography. Invest Ophthalmol Vis Sci. 2013, 54: 353-359. 10.1167/iovs.12-10863.CrossRefPubMed
6.
go back to reference Hirata M, Tsujikawa A, Matsumoto A, Hangai M, Ooto S, Yamashiro K, Akiba M, Yoshimura N: Macular choroidal thickness and volume in normal subjects measured by swept-source optical coherence tomography. Invest Ophthalmol Vis Sci. 2011, 52: 4971-4978. 10.1167/iovs.11-7729.CrossRefPubMed Hirata M, Tsujikawa A, Matsumoto A, Hangai M, Ooto S, Yamashiro K, Akiba M, Yoshimura N: Macular choroidal thickness and volume in normal subjects measured by swept-source optical coherence tomography. Invest Ophthalmol Vis Sci. 2011, 52: 4971-4978. 10.1167/iovs.11-7729.CrossRefPubMed
7.
go back to reference Ikuno Y, Maruko I, Yasuno Y, Miura M, Sekiryu T, Nishida K, Iida T: Reproducibility of retinal and choroidal thickness measurements in enhanced depth imaging and high-penetration optical coherence tomography. Invest Ophthalmol Vis Sci. 2011, 52: 5536-5540. 10.1167/iovs.10-6811.CrossRefPubMed Ikuno Y, Maruko I, Yasuno Y, Miura M, Sekiryu T, Nishida K, Iida T: Reproducibility of retinal and choroidal thickness measurements in enhanced depth imaging and high-penetration optical coherence tomography. Invest Ophthalmol Vis Sci. 2011, 52: 5536-5540. 10.1167/iovs.10-6811.CrossRefPubMed
8.
go back to reference Margolis R, Spaide RF: A pilot study of enhanced depth imaging optical coherence tomography of the choroid in normal eyes. Am J Ophthalmol. 2009, 147: 811-815. 10.1016/j.ajo.2008.12.008.CrossRefPubMed Margolis R, Spaide RF: A pilot study of enhanced depth imaging optical coherence tomography of the choroid in normal eyes. Am J Ophthalmol. 2009, 147: 811-815. 10.1016/j.ajo.2008.12.008.CrossRefPubMed
9.
go back to reference Imamura Y, Fujiwara T, Margolis R, Spaide RF: Enhanced depth imaging optical coherence tomography of the choroid in central serous chorioretinopathy. Retina. 2009, 29: 1469-1473. 10.1097/IAE.0b013e3181be0a83.CrossRefPubMed Imamura Y, Fujiwara T, Margolis R, Spaide RF: Enhanced depth imaging optical coherence tomography of the choroid in central serous chorioretinopathy. Retina. 2009, 29: 1469-1473. 10.1097/IAE.0b013e3181be0a83.CrossRefPubMed
10.
go back to reference Mwanza JC, Hochberg JT, Banitt MR, Feuer WJ, Budenz DL: Lack of association between glaucoma and macular choroidal thickness measured with enhanced depth-imaging optical coherence tomography. Invest Ophthalmol Vis Sci. 2011, 52: 3430-3435. 10.1167/iovs.10-6600.CrossRefPubMedPubMedCentral Mwanza JC, Hochberg JT, Banitt MR, Feuer WJ, Budenz DL: Lack of association between glaucoma and macular choroidal thickness measured with enhanced depth-imaging optical coherence tomography. Invest Ophthalmol Vis Sci. 2011, 52: 3430-3435. 10.1167/iovs.10-6600.CrossRefPubMedPubMedCentral
11.
go back to reference Yamashita T, Shirasawa M, Arimura N, Terasaki H, Sakamoto T: Repeatability and reproducibility of subfoveal choroidal thickness in normal eyes of Japanese using different SD-OCT devices. Invest Ophthalmol Vis Sci. 2012, 53: 1102-1107. 10.1167/iovs.11-8836.CrossRefPubMed Yamashita T, Shirasawa M, Arimura N, Terasaki H, Sakamoto T: Repeatability and reproducibility of subfoveal choroidal thickness in normal eyes of Japanese using different SD-OCT devices. Invest Ophthalmol Vis Sci. 2012, 53: 1102-1107. 10.1167/iovs.11-8836.CrossRefPubMed
12.
go back to reference Yasuno Y, Miura M, Kawana K, Makita S, Sato M, Okamoto F, Yamanari M, Iwasaki T, Yatagai T, Oshika T: Visualization of sub-retinal pigment epithelium morphologies of exudative macular diseases by high-penetration optical coherence tomography. Invest Ophthalmol Vis Sci. 2009, 50: 405-413.CrossRefPubMed Yasuno Y, Miura M, Kawana K, Makita S, Sato M, Okamoto F, Yamanari M, Iwasaki T, Yatagai T, Oshika T: Visualization of sub-retinal pigment epithelium morphologies of exudative macular diseases by high-penetration optical coherence tomography. Invest Ophthalmol Vis Sci. 2009, 50: 405-413.CrossRefPubMed
13.
go back to reference Branchini L, Regatieri CV, Flores-Moreno I, Baumann B, Fujimoto JG, Duker JS: Reproducibility of choroidal thickness measurements across three spectral domain optical coherence tomography systems. Ophthalmology. 2012, 119: 119-123. 10.1016/j.ophtha.2011.07.002.CrossRefPubMed Branchini L, Regatieri CV, Flores-Moreno I, Baumann B, Fujimoto JG, Duker JS: Reproducibility of choroidal thickness measurements across three spectral domain optical coherence tomography systems. Ophthalmology. 2012, 119: 119-123. 10.1016/j.ophtha.2011.07.002.CrossRefPubMed
14.
go back to reference Regatieri CV, Branchini L, Fujimoto JG, Duker JS: Choroidal imaging using spectral-domain optical coherence tomography. Retina. 2012, 32: 865-876. 10.1097/IAE.0b013e318251a3a8.CrossRefPubMedPubMedCentral Regatieri CV, Branchini L, Fujimoto JG, Duker JS: Choroidal imaging using spectral-domain optical coherence tomography. Retina. 2012, 32: 865-876. 10.1097/IAE.0b013e318251a3a8.CrossRefPubMedPubMedCentral
15.
go back to reference Agawa T, Miura M, Ikuno Y, Makita S, Fabritius T, Iwasaki T, Goto H, Nishida K, Yasuno Y: Choroidal thickness measurement in healthy Japanese subjects by three-dimensional high-penetration optical coherence tomography. Graefes Arch Clin Exp Ophthalmol. 2011, 249: 1485-1492. 10.1007/s00417-011-1708-7.CrossRefPubMed Agawa T, Miura M, Ikuno Y, Makita S, Fabritius T, Iwasaki T, Goto H, Nishida K, Yasuno Y: Choroidal thickness measurement in healthy Japanese subjects by three-dimensional high-penetration optical coherence tomography. Graefes Arch Clin Exp Ophthalmol. 2011, 249: 1485-1492. 10.1007/s00417-011-1708-7.CrossRefPubMed
16.
go back to reference Brown JS, Flitcroft DI, Ying GS, Francis EL, Schmid GF, Quinn GE, Stone RA: In vivo human choroidal thickness measurements: evidence for diurnal fluctuations. Invest Ophthalmol Vis Sci. 2009, 50: 5-12.CrossRefPubMed Brown JS, Flitcroft DI, Ying GS, Francis EL, Schmid GF, Quinn GE, Stone RA: In vivo human choroidal thickness measurements: evidence for diurnal fluctuations. Invest Ophthalmol Vis Sci. 2009, 50: 5-12.CrossRefPubMed
17.
go back to reference Wong IY, Koizumi H, Lai WW: Enhanced depth imaging optical coherence tomography. Ophthalmic Surg Lasers Imaging. 2011, 42: S75-S84. 10.3928/15428877-20110627-07.CrossRefPubMed Wong IY, Koizumi H, Lai WW: Enhanced depth imaging optical coherence tomography. Ophthalmic Surg Lasers Imaging. 2011, 42: S75-S84. 10.3928/15428877-20110627-07.CrossRefPubMed
18.
go back to reference Spaide RF, Koizumi H, Pozonni MC: Enhanced depth imaging spectral-domain optical coherence tomography. Am J Ophthalmol. 2008, 146: 496-500. 10.1016/j.ajo.2008.05.032.CrossRefPubMed Spaide RF, Koizumi H, Pozonni MC: Enhanced depth imaging spectral-domain optical coherence tomography. Am J Ophthalmol. 2008, 146: 496-500. 10.1016/j.ajo.2008.05.032.CrossRefPubMed
19.
go back to reference Kim SW, Oh J, Kwon SS, Yoo J, Huh K: Comparison of choroidal thickness among patients with healthy eyes, early age-related maculopathy, neovascular age-related macular degeneration, central serous chorioretinopathy, and polypoidal choroidal vasculopathy. Retina. 2011, 31: 1904-1911. 10.1097/IAE.0b013e31821801c5.CrossRefPubMed Kim SW, Oh J, Kwon SS, Yoo J, Huh K: Comparison of choroidal thickness among patients with healthy eyes, early age-related maculopathy, neovascular age-related macular degeneration, central serous chorioretinopathy, and polypoidal choroidal vasculopathy. Retina. 2011, 31: 1904-1911. 10.1097/IAE.0b013e31821801c5.CrossRefPubMed
20.
go back to reference Maruko I, Iida T, Sugano Y, Ojima A, Ogasawara M, Spaide RF: Subfoveal choroidal thickness after treatment of central serous chorioretinopathy. Ophthalmology. 2010, 17: 1792-1799.CrossRef Maruko I, Iida T, Sugano Y, Ojima A, Ogasawara M, Spaide RF: Subfoveal choroidal thickness after treatment of central serous chorioretinopathy. Ophthalmology. 2010, 17: 1792-1799.CrossRef
21.
go back to reference Ikuno Y, Kawaguchi K, Nouchi T, Yasuno Y: Choroidal thickness in healthy Japanese subjects. Invest Ophthalmol Vis Sci. 2010, 51: 2173-2176. 10.1167/iovs.09-4383.CrossRefPubMed Ikuno Y, Kawaguchi K, Nouchi T, Yasuno Y: Choroidal thickness in healthy Japanese subjects. Invest Ophthalmol Vis Sci. 2010, 51: 2173-2176. 10.1167/iovs.09-4383.CrossRefPubMed
22.
go back to reference Ferrara D, Mohler KJ, Waheed N, Adhi M, Liu JJ, Grulkowski I, Kraus MF, Baumal C, Hornegger J, Fujimoto JG, Duker JS: En face enhanced-depth swept-source optical coherence tomography features of chronic central serous chorioretinopathy. Ophthalmology. 2014, 121: 719-726. 10.1016/j.ophtha.2013.10.014.CrossRefPubMed Ferrara D, Mohler KJ, Waheed N, Adhi M, Liu JJ, Grulkowski I, Kraus MF, Baumal C, Hornegger J, Fujimoto JG, Duker JS: En face enhanced-depth swept-source optical coherence tomography features of chronic central serous chorioretinopathy. Ophthalmology. 2014, 121: 719-726. 10.1016/j.ophtha.2013.10.014.CrossRefPubMed
23.
go back to reference Kim YT, Kang SW, Bai KH: Choroidal thickness in both eyes of patients with unilaterally active central serous chorioretinopathy. Eye (Lond). 2011, 25: 1635-1640. 10.1038/eye.2011.258.CrossRef Kim YT, Kang SW, Bai KH: Choroidal thickness in both eyes of patients with unilaterally active central serous chorioretinopathy. Eye (Lond). 2011, 25: 1635-1640. 10.1038/eye.2011.258.CrossRef
24.
go back to reference Negi A, Marmor MF: Experimental serous retinal detachment and focal pigment epithelial damage. Arch Ophthalmol. 1984, 102: 445-449. 10.1001/archopht.1984.01040030359038.CrossRefPubMed Negi A, Marmor MF: Experimental serous retinal detachment and focal pigment epithelial damage. Arch Ophthalmol. 1984, 102: 445-449. 10.1001/archopht.1984.01040030359038.CrossRefPubMed
25.
go back to reference Wang M, Munch IC, Hasler PW, Prünte C, Larsen M: Central serous chorioretinopathy. Acta Ophthalmol. 2008, 86: 126-145. 10.1111/j.1600-0420.2007.00889.x.CrossRefPubMed Wang M, Munch IC, Hasler PW, Prünte C, Larsen M: Central serous chorioretinopathy. Acta Ophthalmol. 2008, 86: 126-145. 10.1111/j.1600-0420.2007.00889.x.CrossRefPubMed
Metadata
Title
Choroidal thickness measurement by enhanced depth imaging and swept-source optical coherence tomography in central serous chorioretinopathy
Authors
Ferdiriva Hamzah
Ari Shinojima
Ryusaburo Mori
Mitsuko Yuzawa
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2014
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/1471-2415-14-145

Other articles of this Issue 1/2014

BMC Ophthalmology 1/2014 Go to the issue